Active NPI
Ulrika Magdalena Agnew, MD
- Emergency Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD61088552
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098 - Phone
- (503) 494-8211
- NPI assigned
- Mar 23, 2017
- Last updated
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD61088552 | WA | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD61088552 | WA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD197384 | OR |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Other practice location 1
3400 Main St
Vancouver, WA 98663-2223
Phone (360) 969-5232
Other practice location 2
20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 692-3392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR, OH, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.13 of 100
- Quality
- 85.82
- Improvement activities
- 40
- Cost
- 56.48
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.44 of 100
- Quality
- 87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61088552 | WA | MD | Emergency Medicine Physician |
| MD197384 | OR | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Emergency Group a Professional LLC | Emergency Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Emergency Medicine | Current | Accepting new patients |
| Olney Emergency Group, a Professional LLC | Emergency Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Boulder Care Provider Group PA | Addiction Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients |
Locations
1109 Oak Park Dr
Ste 125
Fort Collins, CO 80525
20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061
111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000
915 Broadway St
Ste 137
Vancouver, WA 98660
Phone (503) 208-5061
Interoperability endpoints
- uagnew482585@direct.peacehealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Seaside Hospital
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
dba Boulder Care
- Addiction Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1649838590
CO, OH, WA
-
- Emergency Medicine Physician
- Toppenish, WA
- NPI 1386108868
-
- Emergency Medicine Physician
- Sunnyside, WA
- NPI 1033529367
-
dba Providence Seaside Hospital
- Clinical Pathology Physician
- Seaside, OR
- NPI 1093266769
Emergency Medicine
-
dba Providence Seaside Hospital - Providence Warrenton Clinic
- Rural Health Clinic/Center
- Warrenton, OR
- NPI 1972039170
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Seaside Hospital
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1598296394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393098",
"telephone_number": "503-494-8211"
}
],
"practiceLocations": [
{
"address_1": "3400 Main St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986632223",
"country_code": "US",
"telephone_number": "360-969-5232",
"fax_number": "360-696-5228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20900 Biscayne Blvd",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801407",
"country_code": "US",
"telephone_number": "305-692-3392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGNEW",
"first_name": "ULRIKA",
"middle_name": "MAGDALENA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD61088552",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "WA",
"license": "MD61088552",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "OR",
"license": "MD197384",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.